Nottingham Health and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Nottingham Health and Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF761Apr 8, 2026

  Based on observation, record review, and interviews, the facility failed to appropriately store medications and biologicals when staff failed to ensure the medication carts were always locked when the cart was not within the nurses' view.Findings included:- During the initial tour on 04/06/26 at 07:50 AM, a treatment cart on Holiday House was unlocked and unattended in the hallway. The treatment cart contained Resident (R) 2's enteral (within or via the small intestine) medications, residents supplies, and as needed (PRN) creams.On 04/06/26 at 08:10 AM, a treatment cart on [NAME] House was unlocked and unattended in the hallway. The treatment cart contained residents' treatment supplies, as-needed creams, and two insulin pens (hormone medication used to lower blood glucose). […]

• No harm, potential for more than minimal, patternF689Jun 20, 2024

  The facility had a census of 74 residents. The sample included 19 residents with two reviewed for accidents. Based on observation, record review, and interview the facility failed to secure electrical panels and cleaning chemicals in a safe, locked area, and out of reach of the nine cognitively impaired, independently mobile residents. This placed the affected residents at risk for preventable accidents. The facility additionally failed to implement fall interventions for Resident (R) 43 and R2. Findings Included: - On 06/17/24 at 07:23 AM a walkthrough of the facility's [NAME] unit revealed an unlocked laundry room. The room contained two unlocked high-voltage circuit panels labeled P1W and E1W. […]

• No harm, potential for more than minimal, patternF812Jun 20, 2024

  The facility identified a census of 74 residents. The facility had four kitchens. Based on observation, record review, and interviews, the facility failed to ensure that food items were properly stored in a safe and sanitary manner after the original sealed package had been opened. The facility failed to ensure all foods were labeled and dated after opening. This placed the affected residents who ate food from the facility at risk for food-borne illness. Findings included: - During the initial tour on 06/17/24 at 07:06 AM, observation revealed the following: The Uptown Bistro storage area revealed an ice machine with the lid up and a clear plastic bowl sitting on top of the ice. A small steam table pan in the freezer revealed ground meat in a plastic bag without a label or date. […]

• No harm, potential for more than minimal, patternF880Jun 20, 2024

  The facility identified a census of 74 residents. The facility identified 14 residents on enhanced barrier precautions (EBP-infection control interventions designed to reduce transmission of resistant organisms which employs targeted gown and glove use during high contact care). Based on record review, observations, and interviews, the facility failed to follow sanitary infection control standards related to enhanced barrier precautions, hand hygiene, and disinfection of shared mechanical lifts. These deficient practices placed the residents at risk for infectious diseases. […]

• No harm, potential for more than minimal, patternF761Oct 4, 2022

  The facility identified a census of 40 residents and had three medications carts. Based on observation, record review, and interview, the facility failed to date one insulin (a hormone which regulates blood sugar) pen and failed to discard one expired l insulin pen in one of the three medication carts. This deficient practice left the residents at risk for adverse consequences or ineffective medication treatment. Findings included: - On 09/28/22 at 01:38 AM, the nurse's medication cart on the 200 hall contained the following insulin pens: one Novolin N flex pen (an intermediate-acting insulin that starts to work in two to four hours, and keeps working for 12 to 18 hours) that was opened and not dated ; one Lantus pen (a long-acting insulin) that was opened had an expiration date of… […]